[Evaluation of parameters for laboratory diagnosis of genital female infection by Chlamydia trachomatis]. 2000

H H Melles, and S Colombo, and I M Linhares, and L F Siqueira
Serviço de Virologia do Instituto Adolfo Lutz. Heloisahbmelles@Hotmail.com

In order to evaluate the occurrence of Chlamydia trachomatis, we have examined samples of cervical swabs from 189 women (166 of which were symptomatic and the remaining 23 were asymptomatic with regard to chlamydial infection. Two specimens from the endocervical channel were collected and examined by immunofluorescent assay (DIF) and Chlamydia isolation. Detection of IgG and IgA antibodies specific to C. trachomatis was also effected by indirect immunofluorescent assay (IIF), in a cervical secretion sample. We succeeded in isolating chlamydia in 14 (8.4%) symptomatic and 3 (13%) asymptomatic women. The observation that the 152 symptomatic patients with negative results from chlamydia culture presented similar symptoms of disease, indicating that there is no specific symptom for genital infection caused by Chlamydia (p > 0.05). All the 13 (76.5%) positive endocervical specimens, as determined by cell culture and DIF reaction, presented more than 5 epithelial cells in the smears. These cells may represent an interference factor to the positivity of cell culture (p < 0.001). Antibodies of the IgG and/or IgA classes were detected in 11 (64.7%) out of 17 women with positive chlamydia culture, considering as positive the IIF titre of > or = 8. Consequently, this method can not be used as an alternative means of diagnosis, particularly in the earlier stages of chlamydial genital infections, since the presence of the antibodies depends on the phase of the infection and on the individual humoral immune response.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D002690 Chlamydia Infections Infections with bacteria of the genus CHLAMYDIA. Infections, Chlamydia,Chlamydia Infection,Infection, Chlamydia
D002692 Chlamydia trachomatis Type species of CHLAMYDIA causing a variety of ocular and urogenital diseases.
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D019084 Fluorescent Antibody Technique, Indirect A form of fluorescent antibody technique commonly used to detect serum antibodies and immune complexes in tissues and microorganisms in specimens from patients with infectious diseases. The technique involves formation of an antigen-antibody complex which is labeled with fluorescein-conjugated anti-immunoglobulin antibody. (From Bennington, Saunders Dictionary & Encyclopedia of Laboratory Medicine and Technology, 1984) Immunofluorescence Antibody Test, Indirect,Immunofluorescence Technique, Indirect,Fluorescent Antibody Technic, Indirect,Immunofluorescence Technic, Indirect,Indirect Fluorescent Antibody Technic,Indirect Fluorescent Antibody Technique,Indirect Immunofluorescence,Indirect Immunofluorescence Assay,Assay, Indirect Immunofluorescence,Assays, Indirect Immunofluorescence,Immunofluorescence Assay, Indirect,Immunofluorescence Assays, Indirect,Immunofluorescence Technics, Indirect,Immunofluorescence Techniques, Indirect,Immunofluorescence, Indirect,Immunofluorescences, Indirect,Indirect Immunofluorescence Assays,Indirect Immunofluorescence Technic,Indirect Immunofluorescence Technics,Indirect Immunofluorescence Technique,Indirect Immunofluorescence Techniques,Indirect Immunofluorescences

Related Publications

H H Melles, and S Colombo, and I M Linhares, and L F Siqueira
April 1996, Genitourinary medicine,
H H Melles, and S Colombo, and I M Linhares, and L F Siqueira
April 1998, Journal of clinical microbiology,
H H Melles, and S Colombo, and I M Linhares, and L F Siqueira
February 1994, Genitourinary medicine,
H H Melles, and S Colombo, and I M Linhares, and L F Siqueira
January 1996, Indian journal of dermatology, venereology and leprology,
H H Melles, and S Colombo, and I M Linhares, and L F Siqueira
November 1992, Journal of clinical microbiology,
H H Melles, and S Colombo, and I M Linhares, and L F Siqueira
July 1988, The Practitioner,
H H Melles, and S Colombo, and I M Linhares, and L F Siqueira
September 1997, Canadian family physician Medecin de famille canadien,
H H Melles, and S Colombo, and I M Linhares, and L F Siqueira
January 1982, Ginecologia y obstetricia de Mexico,
H H Melles, and S Colombo, and I M Linhares, and L F Siqueira
December 1988, Alabama medicine : journal of the Medical Association of the State of Alabama,
H H Melles, and S Colombo, and I M Linhares, and L F Siqueira
January 1993, Pathology,
Copied contents to your clipboard!